Individual
DR. SHELBY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
215 WADSWORTH DRIVE, RICHMOND, VA 23236
(804) 497-4973
Mailing address
7420 JOHNSONVILLE WAY, MECHANICSVILLE, VA 23111-1437
(804) 730-2702
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102049951
VA
Other
Enumeration date
03/19/2012
Last updated
07/10/2012
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